Dray G J, Jablon M
Memorial Mission Hospital, Asheville, North Carolina.
Hand Clin. 1987 Aug;3(3):351-69.
An appreciation of the salient clinical and radiologic presentations of osteoarthritis, as well as associated tenosynovial problems (stenosing tenosynovitis and carpal tunnel syndrome), is necessary for effective diagnosis. The treatment of osteoarthritis is predicated upon an understanding of the anatomy and pathomechanics of the disease process. Relevant features of the anatomy of the joints of the hand have been reviewed. The correlation of pathologic abnormalities with their radiologic findings has been presented. The degenerative joint disease termed osteoarthritis affects primarily cartilagenous and osseous tissues, while synovial changes are less pronounced. The characteristics of osteoarthritis of the interphalangeal, carpometacarpal joint of the thumb, and metacarpophalangeal joints of the hand have been reviewed.
要进行有效的诊断，必须了解骨关节炎显著的临床和放射学表现，以及相关的腱鞘炎问题（狭窄性腱鞘炎和腕管综合征）。骨关节炎的治疗基于对疾病过程的解剖学和病理力学的理解。手部关节解剖的相关特征已作回顾。已阐述了病理异常与其放射学表现的相关性。称为骨关节炎的退行性关节病主要影响软骨和骨组织，而滑膜变化则不太明显。手部指间关节、拇指腕掌关节和掌指关节的骨关节炎特征已作回顾。
